Claim total
$846.34
base $93.39 · payer covered $796.34
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1994-01-08
- Stop
- 1994-01-08
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
001727b6-dbde-2493-feef-112ca709d951